Existing Client Form

Step 1 of 2

Parent Information
Please Note: If you have not previously completed my online registration form, or if any of your or your children's details have changed, please register on the new client form..

Parent's Name*

FirstLast

Children Participating*

Mobile Phone*

Home Phone

Email*

Preferred Correspondence

Lesson Information

Types Of Booking*

Term Booking

Start Date*

Term Booking Time and Day

Term Booking - Preferred Lesson Day and Time 1*

Term Booking - Preferred Lesson Day and Time 2*

Term Booking - Preferred Lesson Day and Time 3*

Term Booking - Lesson Length*

Holiday Intensive Time and Day

I would like to book an Holiday Intensive lessons for the weeks commencing:*

9-13 December (Early school holidays - 5 days)

16-20 December (Early school holidays - 5 days)

19-21 and 23-24 December (5 days)

2-4 January (3 days Thurs-Sat)

6-10 January (5 days)

13-17 January (5 days)

20-24 January (5 days)

Holiday Booking - Preferred Lesson Time 1*

Holiday Booking - Preferred Lesson Time 2*

Holiday Booking - Preferred Lesson Time 3*

Holiday Booking - Lesson Length*

Instructor Preference*

No Preference

Preferred instructor

Lessons to be conducted at*

Our pool (registered address)

Other

The pool to be used for lessons is*

Not heated

Solar heated

Heated by gas / electricity / heat pump

For group lessons - lessons to be shared with

General Comments / Special Requests

You have signed up for the Holiday Intensive Accelerator Class. Please send the payment in full for your intensive classes, to enable TTTT to confirm your booking.
Holiday Intensive Accelerator Classes

5 x 30 minute classes: $300

5 x 40 minute classes: $400

5 x 45 minute classes: $450

5 x 60 minute classes: $500

Once you have completed this form, please send a deposit for the first 4 classes, to enable TTTT to confirm your booking.
Term Booking Classes

4 x 30 minute classes: $240

4 x 40 minute classes: $320

4 x 45 minute classes: $360

4 x 60 minute classes: $400

You have signed up for Term and Holiday Intensive swimming lessons.
Once you have completed this form, please send a deposit for the first 4 classes for term booking and the full amount for holiday intensive lessons, to enable TTTT to confirm your booking.
Term Booking Classes

Either phone through or post your credit card details to TTTT to enable a credit card payment to be processed.
TTTT accept Visa or Mastercard payments.

Indemnity Form and Conditions of Lessons

Swimming and learning to swim can be an enjoyable recreational activity. However, like many recreational activities, learning to swim carries with it the risk of physical injury.
By checking the box below you agree as follows:

You have been informed of and agree to the reasonable safety requirements and procedures which must be adhered to in relation to all swimming lessons provided by Tanya's Travelling Tadpole Tuition Pty Ltd (ABN: 33 109 827 830), its employees and representatives and you will explain these requirements and procedures to your child/children (Please see “Tanya's Travelling Tadpole Tuition Teaching and Lesson Procedures ”).

Your child/children, named above take part in swimming lessons provided by Tanya's Travelling Tadpole Tuition Pty Ltd, its employees or representatives at your sole risk, to the extent permitted by law.

Tanya's Travelling Tadpole Tuition, its employees and representatives have no liability to you or your child for any act or omission (including negligence) arising out of the services that Tanya's Travelling Tadpole Tuition Pty Ltd, its employees or representatives provide which cause any damage or personal injury.

You release and indemnify, to the extent permitted by law, Tanya's Travelling Tadpole Tuition Pty Ltd, its employees and representatives, and the owner of the swimming pool should your lessons not be taking place in your own swimming pool, from and against any claim, demand, loss, accident, damage, injury, death, liability, cost and expense that may be incurred or sustained by any person as a result of any act, matter or thing done, permitted or omitted to be done by Tanya's Travelling Tadpole Tuition Pty Ltd, its employees or representatives in relation to the provision of swimming lessons.

You agree to pay for swimming lessons for each term or holiday programme in advance, unless you request to pay in instalments and this is agreed prior to commencement of classes. All classes must still be paid for in advance.